Reimbursement for covered out-of-pocket medical expenses (excluding required copayments/coinsurance/deductible amounts) that you may have incurred inside the United States while actively covered under the Student Health Insurance Plan.
Reimbursement for covered out-of-pocket expenses (excluding required copayments/coinsurance) that you may have incurred while actively covered under the Dental Blue Plan.
Reimbursement for qualifying health club membership fees.
Reimbursement for covered out-of-pocket medical expenses (excluding required copayments) that you may have incurred outside of the United States while actively covered under the Student Health Insurance Plan. Please use this form for services received before January 1, 2017.
Reimbursement for qualifying weight loss programs.
Reimbursement for covered out-of-pocket prescription expenses (excluding required copayments/coinsurance) that you may have incurred while actively covered under the Student Health Insurance Plan.
Enrollment and policies
Active military duty personnel may be eligible to waive the Student Health Fee. Complete the attestation form and return it to Member Services.
This enrollment application is for incoming students and those with a life changing event. Open enrollment ends September 30.
Post-doctoral affiliates (also known as post-doctoral fellows) are eligible to enroll as long as they have a current appointment, were recently awarded a Ph.D. or equivalent doctorate in an appropriate field, and are not eligible for employer-sponsored health insurance.
Students may apply for four months of additional coverage due to Leave of Absence or Withdrawl from the University. The additional coverage starts on the last day of student coverage, and important time restrictions apply.
Students on Leave of Absence from the University may appeal to extend coverage beyond the four months of Leave Of Absence coverage.
Students who previously waived the Student Health Insurance Plan may be eligible to re-enroll based on certain criteria.
Student coverage ends depending upon the day the student completes degree requirements.
This form is for members to declare their eligibility for Medicare.
Members can request a cost estimate if they meet eligibility guidelines and are currently enrolled in the health plan. An estimate does not guarantee coverage, and each admission, procedure, or service must be a medically necessary covered benefit and meet medical guidelines. All prior authorization and referrals must be obtained, if necessary.
There are two options for receiving an estimate of your financial responsibility for an upcoming service or procedure.
Estimates from Your Insurance Plan
Visit the Blue Cross Blue Shield of Massachusetts website and log into MYBLUE (formerly Member Central) or call 1 (800) 257-8141 for assistance. To help get you started, use the Blue Cross Blue Shield checklist form, which provides guidelines on what information you need in order to receive an estimate. Once you are logged into MYBLUE, you can also:
View claims online
Monitor your deductible and out-of-pocket maximum
Request a written estimate
Estimates from Your Provider
All providers are now required to provide cost estimates for service they provide. Talk to your provider about obtaining an estimate prior to receiving care.